Clinical Database

A Provincial Emergency Medicine Clinical Database

Strategic Leader: Eric Grafstein

Vision

Complete and reliable provincial Emergency Department data to provide knowledge for key decisionmakers to improve the quality of Emergency Care for British Columbians.

Long Term Goals

  • To standardize the acquisition of key data elements by the major sites within the regional health authorities in BC.
  • To understand outcomes of Emergency Department visits with the creation of important linkages with Admission and Discharge data, Vital Statistics, Pharmanet, Resuscitation Outcomes Consortium, Registries (Stroke, Trauma, Cardiac), as well as Medication Dispensing data (Omnicell/Pyxis) in order to support CCM initiatives and other provincial KRAs.
  • To align clinical decision makers with policymakers through the interpretation of ED data.

Short Term Goals

  • Continue support for work being done to build the VCH-PHC regional ED database.
  • Complete NACRS dataset standardization and implementation in VCH.
  • Develop a provincial strategy for data stewardship, access, privacy, and governance.
  • Understand ED site data gathering limitations and barriers to data collection.

Key Partners & Stakeholders

  • Provincial ED Leaders
  • HA Decision Support Services
  • Regional and Provincial Privacy Officers
  • UBC DEM
  • Provincial MoH Emergency Directors
  • CHSPR

Work to Date

This initiative builds on a 13-year history of database development, health services research, and front-end IT system implementation and expansion at Providence Health Care and Vancouver Coastal Health. Proof of concept for a provincial administrative database is established with initial support for VCHA Decision Support development of a regional ED data warehouse. Our team has standardized regional data around the Canadian Triage and Acuity Scale and discharge diagnosis. We have engaged key VCH regional ED stakeholders to support regional data initiatives. Local data systems are being used to produce high quality outcome studies on atrial fibrillation, suicidal ideation, and revisit-readmits.